Individual
MS. HEATHER L HARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735
(262) 884-4000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209007348
IL
363L00000X
Nurse Practitioner
Primary
4562
WI
363LF0000X
Family Nurse Practitioner
209007348
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100017661
—
WI
01
—
209007348
STATE LICENSE
IL
01
—
962341
MEDICARE
IL
Enumeration date
12/02/2008
Last updated
03/16/2026
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